Levi Bursch

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14219 Issued in MN

Practice address

3570 River Rapids Dr NW # 110
Coon Rapids, MN 55448-4100

Phone

(651) 760-5441

NPI assigned

May 29, 2019

Last updated

Feb 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Levi M Bursch, DDS PLLC

  • Dentist
  • Duluth, MN
  • NPI 1497400972
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1932767688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 MELLWOOD AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558041718",
            "telephone_number": "716-397-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 RIVER RAPIDS DR NW # 110",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484100",
            "telephone_number": "651-760-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSCH",
        "first_name": "LEVI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bunders, MSW, LICSW
• Debra Anne Burdick, WHCNP
• Ana Burge, CRNA
• Ashley Burke, LADC
• Troy Burke, PHARMD
• Theodore Joseph Buselmeier, M.D.
• Mary A Butte, FNP
• Jason Daniel Byers, M.D.
• Cassandra M Calendine, LAC
• Dennis John Callahan, MD

• General Practice Dentistry in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.